End of Life and Palliative Care in Neurology: Does Autonomy Matter?

Abstract:

:The recent supreme court of India judgment on autonomy makes it necessary for all practicing neurologists to appraise themselves of the changing legal framework for End-of-Life decision-making in India. A pathway has been prescribed for advance care planning and medical futility decision-making. This is an evolving landscape and in a diverse country may vary substantially by geography. Living wills and advance medical directives can be prepared by our patients, and we will be required to honor these instruments. Catastrophic brain injury and life-limiting neurologic illness both require us to maintain our commitment to care when cure is no longer possible.

journal_name

Ann Indian Acad Neurol

authors

Gursahani R,Mani RK,Simha SN

doi

10.4103/aian.AIAN_138_18

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

239-241

issue

4

eissn

0972-2327

issn

1998-3549

pii

AIAN-21-239

journal_volume

21

pub_type

杂志文章
  • Limb-girdle muscular dystrophy in the Agarwals: Utility of founder mutations in CAPN3 gene.

    abstract:BACKGROUND AND PURPOSE:Diagnostic evaluation of limb-girdle muscular dystrophy type 2A (LGMD2A) involves specialized studies on muscle biopsy and mutation analysis. Mutation screening is the gold standard for diagnosis but is difficult as the gene is large and multiple mutations are known. This study evaluates the util...

    journal_title:Annals of Indian Academy of Neurology

    pub_type: 杂志文章

    doi:10.4103/0972-2327.175435

    authors: Khadilkar SV,Chaudhari CR,Dastur RS,Gaitonde PS,Yadav JG

    更新日期:2016-01-01 00:00:00

  • De novo development of artistic creativity in Alzheimer's disease.

    abstract::The case of an 82-year-old female with probable Alzheimer's disease (AD), who developed unusual artistic creativity after development of her disease, is described. The possible pathogenetic mechanism is discussed. The patient showed no inclination toward visual arts during her premorbid years. However, 4 years after d...

    journal_title:Annals of Indian Academy of Neurology

    pub_type:

    doi:10.4103/0972-2327.91953

    authors: Chakravarty A

    更新日期:2011-10-01 00:00:00

  • Is Dementia in Parkinson' Disease Related to Chronic Stress, Anxiety, and Depression?

    abstract:Objectives:Stress, anxiety, and depression are known to be associated with the development of neurodegenerative disorders through interactions with the underlying pathophysiology. We hypothesized that the presence of these symptoms contributes to cognitive disturbances and dementia in Parkinson's disease (PD). The pres...

    journal_title:Annals of Indian Academy of Neurology

    pub_type: 杂志文章

    doi:10.4103/aian.AIAN_341_18

    authors: Pal A,Pegwal N,Behari M,Sharma R

    更新日期:2019-10-01 00:00:00

  • Report: Stem cell applications in neurological practice, an expert group consensus appraisal.

    abstract:INTRODUCTION:Neurologists in their clinical practice are faced with inquiries about the suitability of stem cell approaches by patients with a variety of acute and chronic (namely neurodegenerative) disorders. The challenge is to provide these patients with accurate information about the scope of stem cell use as well ...

    journal_title:Annals of Indian Academy of Neurology

    pub_type: 杂志文章

    doi:10.4103/0972-2327.186825

    authors: Devi MG,Sharma A,Mohanty S,Jain N,Verma K,Padma MV,Pal P,Chabbra HS,Khadilkar S,Prabhakar S,Singh G

    更新日期:2016-07-01 00:00:00

  • Comparison of Risk Factors, Treatment, and Outcome in Patients with Symptomatic Intracranial Atherosclerotic Disease in India and the United States.

    abstract:Background and Aims:Intracranial atherosclerotic disease (ICAD) is common in the Asian population, but less studied in South Asians compared to East Asians. We compared risk factors, treatments, and outcomes among consecutive patients with symptomatic ICAD from India with a mixed-ethnic cohort from Chicago, Illinois. ...

    journal_title:Annals of Indian Academy of Neurology

    pub_type: 杂志文章

    doi:10.4103/aian.AIAN_549_19

    authors: Saraf U,Prabhakaran S,Arun K,Babiker A,Rajendran A,Kesavadas C,Sylaja PN

    更新日期:2020-05-01 00:00:00

  • Multisystem involvement in neuromyelitis optica.

    abstract::We describe a case of pediatric neuromyelitis optica (NMO) with muscle and lung involvement in addition to central nervous system disease. Our patient initially presented with features of area postrema syndrome, then subsequently with optic neuritis. The patient also had recurrent hyperCKemia that responded to cortico...

    journal_title:Annals of Indian Academy of Neurology

    pub_type:

    doi:10.4103/0972-2327.164830

    authors: Langille MM,Desai J

    更新日期:2015-09-01 00:00:00

  • Rare ocular manifestation in a case of West Nile virus meningoencephalitis.

    abstract::West Nile Virus (WNV) is an arthropod-borne flavivirus, which causes flu-like illness and is sporadically associated with encephalitis. Transmission to humans occurs following a bite from an infected mosquito, which acquires the virus after feeding on dead birds. WNV meningoencephalitis is a rare infection with a neur...

    journal_title:Annals of Indian Academy of Neurology

    pub_type:

    doi:10.4103/0972-2327.128564

    authors: Malhotra K,Ramanathan RS,Synowiec A,Rana S

    更新日期:2014-01-01 00:00:00

  • Neuromyelitis optica - an update: 2007-2009.

    abstract::Neuromyelitis optica is an inflammatory demyelinating disorder of the central nervous system. The discovery of a specific antibody (NMO IgG /aquaporin-4 antibody) in patients with this condition has led to a marked revival of research on the disease. This article summarizes the major advances in neuromyelitis optica, ...

    journal_title:Annals of Indian Academy of Neurology

    pub_type: 杂志文章

    doi:10.4103/0972-2327.58277

    authors: Jacob A

    更新日期:2009-10-01 00:00:00

  • Clinical features and prognosis with Guillain-Barré syndrome.

    abstract:BACKGROUND:Guillain-Barré syndrome (GBS) is an acute inflammatory polyneuropathy commonly characterized by rapidly progressive, symmetric weakness and areflexia. MATERIALS AND METHODS:We retrospectively assessed the clinical manifestations, results of electrodiagnostic tests, functional status and prognosis of 36 chil...

    journal_title:Annals of Indian Academy of Neurology

    pub_type: 杂志文章

    doi:10.4103/0972-2327.82793

    authors: Akbayram S,Doğan M,Akgün C,Peker E,Sayιn R,Aktar F,Bektaş MS,Caksen H

    更新日期:2011-04-01 00:00:00

  • A clinician's dilemma: Sturge-Weber syndrome 'without facial nevus'!!

    abstract::Sturge-Weber syndrome (SWS) is a rare, sporadic neurocutaneous syndrome characterized by a classical triad of facial port wine nevus, ipsilateral leptomeningeal angiomatosis (LAM) and glaucoma. The incidence of SWS is 1/50,000 live births, although it is more often underreported. The incidence of SWS without facial ne...

    journal_title:Annals of Indian Academy of Neurology

    pub_type:

    doi:10.4103/0972-2327.107725

    authors: Jagtap SA,Srinivas G,Radhakrishnan A,Harsha KJ

    更新日期:2013-01-01 00:00:00

  • Acute polyradiculoneuropathy following honey bee sting.

    abstract::Neurological complications following honey bee sting are rare. We report a case of a 3-year-old girl who developed acute polyradiculoneuropathy following honey bee sting, which was diagnosed by nerve conduction studies. ...

    journal_title:Annals of Indian Academy of Neurology

    pub_type:

    doi:10.4103/0972-2327.95000

    authors: Poddar K,Poddar SK,Singh A

    更新日期:2012-04-01 00:00:00

  • Multiple sulfatase deficiency: A case series of four children.

    abstract::Multiple sulfatase deficiency is biochemically characterized by the accumulation of sulfated lipids and acid mucopolysaccharides. The gene sulfatase-modifying factor 1 (SUMF1), recently identified, encodes the enzyme responsible for post-translational modification of a cysteine residue, which is essential for the acti...

    journal_title:Annals of Indian Academy of Neurology

    pub_type:

    doi:10.4103/0972-2327.120449

    authors: Incecik F,Ozbek MN,Gungor S,Pepe S,Herguner OM,Mungan NO,Gungor S,Altunbasak S

    更新日期:2013-10-01 00:00:00

  • National Exit Test: How Will One Size Fit All?

    abstract::Medical education in India is expected to undergo a significant reform after the introduction of the National Medical Commission Act. Single, nationwide National Exit Test (NEXT) is an essential provision under this act, which will be implemented during the next three years. It aims to bring about uniformity in the mi...

    journal_title:Annals of Indian Academy of Neurology

    pub_type: 社论

    doi:10.4103/aian.AIAN_478_19

    authors: Ranjan P,Ranjan R,Kumar M

    更新日期:2020-03-01 00:00:00

  • Methotrexate-induced chemical meningitis in patients with acute lymphoblastic leukemia/lymphoma.

    abstract:BACKGROUND:Intrathecal methotrexate (ITMTX) is an important component in the treatment as well as prophylaxis of leukemia/lymphoma. ITMTX can cause chemical meningitis characterized by vomiting, headache, and fever lasting 2-5 days with spontaneous resolution of symptoms which differentiates this syndrome from bacteria...

    journal_title:Annals of Indian Academy of Neurology

    pub_type: 杂志文章

    doi:10.4103/0972-2327.150586

    authors: Jacob LA,Sreevatsa A,Chinnagiriyappa LK,Dasappa L,Suresh TM,Babu G

    更新日期:2015-04-01 00:00:00

  • Vitamin-Responsive Movement Disorders in Children.

    abstract::Movement disorders in childhood comprise a heterogeneous group of conditions that lead to impairment of voluntary movement, abnormal postures, or inserted involuntary movements. Movement disorders in children are frequently caused by metabolic disorders, both inherited and acquired. Many of these respond to vitamin su...

    journal_title:Annals of Indian Academy of Neurology

    pub_type: 杂志文章

    doi:10.4103/aian.AIAN_678_19

    authors: Sondhi V,Sharma S

    更新日期:2020-05-01 00:00:00

  • Acute Ischemic Stroke Treatment Using Mechanical Thrombectomy: A Study of 137 Patients.

    abstract:BACKGROUND:Mechanical thrombectomy (MT) is the most effective treatment in large vessel occlusion (LVO). We have analyzed our initial experience of MT of 137 patients in anterior circulation (AC) and posterior circulation (PC) LVO using Solitaire stent retriever device. METHODS:Retrospective cohort analysis of 112 AC ...

    journal_title:Annals of Indian Academy of Neurology

    pub_type: 杂志文章

    doi:10.4103/aian.AIAN_158_17

    authors: Singh RK,Chafale VA,Lalla RS,Panchal KC,Karapurkar AP,Khadilkar SV,Ojha PK,Godge Y,Singh RK,Benny R

    更新日期:2017-07-01 00:00:00

  • Repetitive compound muscle action potentials in electrophysiological diagnosis of congenital myasthenic syndromes: a case report and review of literature.

    abstract::Congenital myasthenic syndromes (CMSs) are a heterogeneous group of disorders, characterized by dysfunction of neuromuscular junction (NMJ) transmission. These syndromes are genetically inherited and are present since birth. Some have characteristic clinical or electrodiagnostic features but in many cases determinatio...

    journal_title:Annals of Indian Academy of Neurology

    pub_type:

    doi:10.4103/0972-2327.64645

    authors: Kumar RS,Kuruvilla A

    更新日期:2010-04-01 00:00:00

  • Glutaric aciduria type I: A treatable neurometabolic disorder.

    abstract:BACKGROUND AND OBJECTIVES:Glutaric aciduria Type-I (GA-I) has characteristic clinical and neuroimaging features, which clinches the diagnosis in a majority of patients. However, there have been few case reports on GA-I from India. This study was undertaken to study the clinical presentations, metabolic profile, neuroim...

    journal_title:Annals of Indian Academy of Neurology

    pub_type: 杂志文章

    doi:10.4103/0972-2327.93273

    authors: Kamate M,Patil V,Chetal V,Darak P,Hattiholi V

    更新日期:2012-01-01 00:00:00

  • Comparison of Levetiracetam and sodium Valproate in migraine prophylaxis: A randomized placebo-controlled study.

    abstract:BACKGROUND:Migraine is a chronic and disabling disorder. Treatment of migraine often comprises of symptomatic (abortive) and preventive (prophylactic) treatment. The current drugs used in migraine prophylaxis include antidepressant drugs (Serotonin Reuptake Inhibitors, Tricyclic antidepressants), and anti-epileptic dru...

    journal_title:Annals of Indian Academy of Neurology

    pub_type: 杂志文章

    doi:10.4103/0972-2327.144290

    authors: Sadeghian H,Motiei-Langroudi R

    更新日期:2015-01-01 00:00:00

  • Repetitive transcranial magnetic stimulation in psychiatry.

    abstract::Repetitive transcranial magnetic stimulation (rTMS) is a non-invasive and relatively painless tool that has been used to study various cognitive functions as well as to understand the brain-behavior relationship in normal individuals as well as in those with various neuropsychiatric disorders. It has also been used as...

    journal_title:Annals of Indian Academy of Neurology

    pub_type: 杂志文章

    doi:10.4103/0972-2327.91935

    authors: Mishra BR,Sarkar S,Praharaj SK,Mehta VS,Diwedi S,Nizamie SH

    更新日期:2011-10-01 00:00:00

  • The need for a population-based, dose optimization study for recombinant tissue plasminogen activator in acute ischemic stroke: A study from a tertiary care teaching hospital from South India.

    abstract:CONTEXT:The guideline recommended dose of intravenous (i.v) recombinant tissue-type plasminogen activator (rt-PA) for acute ischemic stroke is 0.9 mg/kg in the European and American populations. In Asiatic population, some studies have shown that a lower dose of i.v rt-PA is equally efficacious. AIMS:To assess if ther...

    journal_title:Annals of Indian Academy of Neurology

    pub_type: 杂志文章

    doi:10.4103/0972-2327.199911

    authors: Abraham SV,Thaha F,Krishnan SV,Shajan A,Balakrishnan JM,Palatty BU

    更新日期:2017-01-01 00:00:00

  • Primary Sjögren's syndrome manifesting as multiple cranial neuropathies: MRI findings.

    abstract::We report a case of primary Sjögren's syndrome presenting with multiple cranial nerve palsies and radiological evidence of cranial pachymeningitis and hypophysitis. A 47-year-old woman developed right sensory neural hearing loss followed, 2 months later, by right facial palsy. Cranial magnetic resonance imaging showed...

    journal_title:Annals of Indian Academy of Neurology

    pub_type:

    doi:10.4103/0972-2327.53083

    authors: Ashraf VV,Bhasi R,Kumar RP,Girija AS

    更新日期:2009-04-01 00:00:00

  • Dermatomyositis presenting with rhabdomyolysis and acute renal failure; an uncommon manifestation.

    abstract::Rhabdomyolysis and myoglobinuria are a rare complication of dermatomyositis. Such patient can land up in acute renal failure. Recognition of this fact has important therapeutic implications as patients require immunotherapy in addition to the symptomatic treatment for renal failure. We report a case of dermatomyositis...

    journal_title:Annals of Indian Academy of Neurology

    pub_type:

    doi:10.4103/0972-2327.48853

    authors: Joshi D,Kumar N,Rai A

    更新日期:2009-01-01 00:00:00

  • "Missing clot" during mechanical thrombectomy in acute stroke using Solitaire stent retrieval system.

    abstract::Stent retrieval system is an established treatment modality in acute ischemic stroke with large vessel occlusion. Here, we describe a complication which occurred during mechanical thrombectomy in three cases where the clot dislodged during retrieval. There was a possibility of the clot getting reinjected into the arte...

    journal_title:Annals of Indian Academy of Neurology

    pub_type:

    doi:10.4103/0972-2327.176866

    authors: Huded V,Nambiar V,De Souza R,Bohra V,Ramankutty R

    更新日期:2016-04-01 00:00:00

  • The Challenge of Managing Parkinson's Disease Patients during the COVID-19 Pandemic.

    abstract::The 2019 novel coronavirus (nCoV) pandemic is rapidly developing across the globe and new information is emerging expeditiously and constantly, particularly in relation to neurological illnesses. Both central and peripheral nervous system involvement has been reported including headache, dizziness, hyposmia/anosmia, t...

    journal_title:Annals of Indian Academy of Neurology

    pub_type: 杂志文章

    doi:10.4103/aian.AIAN_295_20

    authors: Garg D,Dhamija RK

    更新日期:2020-04-01 00:00:00

  • Perceived caregiver stress in Alzheimer's disease and mild cognitive impairment: A case control study.

    abstract:OBJECTIVES:Cross sectional studies have reported a tremendous amount of stress in caregivers of patients with Alzheimer's disease (AD) and Mild Cognitive Impairment (MCI). The present study aimed at evaluating the perceived stress in caregivers of patients with AD and MCI compared to controls. MATERIALS AND METHODS:Ca...

    journal_title:Annals of Indian Academy of Neurology

    pub_type: 杂志文章

    doi:10.4103/0972-2327.167695

    authors: Anand KS,Dhikav V,Sachdeva A,Mishra P

    更新日期:2016-01-01 00:00:00

  • Paradoxical presentation of orthostatic headache associated with increased intracranial pressure in patients with cerebral venous thrombosis.

    abstract::Headache is the most common symptom of cerebral venous thrombosis (CVT); however, the detailed underlying mechanisms and characteristics of headache in CVT have not been well described. Here, we report two cases of CVT whose primary and lasting presentation was orthostatic headache, suggestive of decreased intracrania...

    journal_title:Annals of Indian Academy of Neurology

    pub_type:

    doi:10.4103/0972-2327.107705

    authors: Kim JB,Kwon DY,Park MH,Kim BJ,Park KW

    更新日期:2013-01-01 00:00:00

  • Tension type headache.

    abstract::Tension type headaches are common in clinical practice. Earlier known by various names, the diagnosis has had psychological connotations. Recent evidence has helped clarify the neurobiological basis and the disorder is increasingly considered more in the preview of neurologists. The classification, clinical features, ...

    journal_title:Annals of Indian Academy of Neurology

    pub_type: 杂志文章

    doi:10.4103/0972-2327.100023

    authors: Chowdhury D

    更新日期:2012-08-01 00:00:00

  • Opercular myoclonic-anarthric status epilepticus: A report of two cases.

    abstract::Opercular myoclonic-anarthric status epilepticus (OMASE) is an uncommon disorder of diverse etiology. This condition is characterized by fluctuating cortical dysarthria associated with epileptic myoclonus involving glossopharyngeal musculature bilaterally. We report two cases of OMASE of vascular etiology in adults. I...

    journal_title:Annals of Indian Academy of Neurology

    pub_type:

    doi:10.4103/0972-2327.120470

    authors: Bhaskara Rao JV,Vengamma B,Naveen T,Rao MS

    更新日期:2013-10-01 00:00:00

  • Global workspace model of consciousness and its electromagnetic correlates.

    abstract::The global workspace of consciousness was proposed in its elementary framework by Baars, in 1982. Since the time of inception, there have been many speculations and modifications of this theory, but the central theme has remained the same, which refers to the global availability of information in the brain. However, t...

    journal_title:Annals of Indian Academy of Neurology

    pub_type: 杂志文章

    doi:10.4103/0972-2327.42933

    authors: Prakash R,Prakash O,Prakash S,Abhishek P,Gandotra S

    更新日期:2008-07-01 00:00:00